BACKGROUND This study quantified the effects of heat, cold, and pressure on the median nerve and transverse carpal ligament in subjects without carpal tunnel syndrome. MATERIAL AND METHODS Subjects were individuals ages 20-50 who had no symptoms of carpal tunnel disease. Imaging ultrasound was used to measure the clearance around the median nerve, transverse ligament elasticity, nerve conduct...

Carpal tunnel syndrome is the most common entrapment neuropathy seen in the electrodiagnostic laboratory. Clinical assessment is an important part of the electrodiagnostic consultation and helps to form an appropriate differential diagnosis. Sensory conduction studies are a critical part of the evaluation. Using a summary index, such as the combined sensory index, is preferable to considering s...

BACKGROUND Carpal tunnel release is the gold standard for the treatment of median nerve compression disease. Recurrent or persistent symptoms do not occur in most patients, although a small number of them have indicated that such a postoperative condition indeed exists. Some patients undergo repeated treatments. In the majority of the cases, the disease is associated with scarring in the carpal...

Myoepitheliomas are rare tumors increasingly recognized to occur in the soft tissues. Although the hand and carpal tunnel are exceptional locations, the presence of these lesions in such sites constitutes a potential cause of debilitating symptoms. We report the case of a patient with severe pain secondary to median nerve compression and displacement of flexor tendons caused by a rapidly growin...

Lipofibromatous hamartoma (LFH) is an extremely rare benign tumor, which is characterized by an excessive infiltration of the epineurium and perineurium by fibroadipose tissues. A 27-year-old woman was diagnosed with left carpal tunnel syndrome (CTS) due to LFH of the median nerve. LFH was diagnosed by MRI and sonography; the characteristic ultrasonographic feature of LFH showed a good correlat...

Lipofibromatous hamartoma (LFH) is an extremely rare benign tumor, which is characterized by an excessive infiltration of the epineurium and perineurium by fibroadipose tissues.A 27-year-old woman was diagnosed with left carpal tunnel syndrome (CTS) due to (LFH) of the median nerve. LFH was diagnosed by MRI and sonography; the characteristic ultrasonographic feature of LFH showed a good correla...

MEDIAN nerve compression at the wrist is common and its treatment by decompression is usually successful. Ulnar nerve entrapment, on the other hand, is uncommon. The ulnar nerve as it enters the hand passes through and divides in the canal of Guyon, into its deep (motor) and superficial (sensory) branch. This ulnarcarpal tunnel is bounded proximally and medially by the pisiform, distally and la...

In this publication we describe three techniques for endoscopic carpal tunnel release which use the palmar portal approach and the superficial plane to enable a view from above the transverse carpal ligament. These techniques prevent any iatrogenic compression of the median nerve inside the already narrow tunnel. Although the necessary instruments are inexpensive and recommended in instrumentat...

Carpal tunnel syndrome, resulting from median nerve compression at the wrist, is a common and often disabling mononeuropathy. Risk factors include female sex, family history, repetitive hand use, obesity, pregnancy and a variety of medical comorbidities including diabetes mellitus, rheumatoid arthritis, and other connective tissue diseases. In many cases, an accurate diagnosis can be reached on...

A three-year-old boy was investigated for inexplicable incessant crying. On examination, his left wrist was mildly swollen (three to four months) and sensitive. Exploration and carpal tunnel decompression of the left wrist with incisional biopsy was performed for the presence of a fusiform swelling intimately associated with the median nerve. Histopathology revealed the presence of enlarged ner...